Obesity, defined as a body mass index (BMI) >30, is associated with an increased likelihood of osteoarthritis and need for total joint arthroplasty (TJA). Unfortunately, the morbidly obese population has higher risk postoperative complications. For some surgeons, patient selection criteria TJA includes BMI<40. The risks are recognized by American Association Hip And Knee Surgeons, many surgeons follow these guidelines. Importantly, patients have been demonstrated to equal or greater gains in...

A clinical and radiographic study of 49 posterior cruciate ligament-retaining total knee arthroplasties in 38 patients (11 bilateral, 27 unilateral), using prostheses the same design, was undertaken to quantify amount vivo rollback (ie, anteroposterior translation tibia with respect femur during flexion).The mean difference distances between contact points knees full extension 90 ° flexion distance) a point -0.2 mm (-12.7 +7.6 mm; SD, 4.7 mm) relative prosthetic tibial tray, corresponding an...

Even though the Centers for Medicare and Medicaid Services is penalizing hospitals readmissions, postoperative prophylaxis has demonstrated reduced complications associated with deep vein thrombosis (DVT), few studies have examined patient compliance (DVT) at home. A survey querying DVT management adherence was administered to patients who were within one three-month period after a total knee or hip replacement. of 103 completed survey. considerable number (17.0%) non-adherent prophylaxis....

With the aging of US population, total hip arthroplasty (THA) is becoming an increasingly common procedure. A major concern after THA reducing infection rates, as infections can cause devastating complications. Improved sterile technique, standardized control protocols, and novel dressings have been used to reduce postoperative surgical site (SSIs). The use either silver-impregnated dry or easily applied incisional negative pressure aimed at rates SSIs primary anterior THA. authors...

A major complication after total hip arthroplasty (THA) is infection, which can have devastating clinical and financial results. Silver-impregnated dry dressings, such as Aquacel incisional negative pressure dressings (Prevena) been developed to reduce the rates of surgical site infections (SSIs) surgery. We retrospectively reviewed medical records 235 patients who underwent primary posterior approach THA at our institution during a three-year period. Patients were grouped based on dressing....

<title>Abstract</title> Background The decision to undergo total knee arthroplasty (TKA) is complex, requiring patients consider the risks and benefits of surgery. It clinician’s responsibility educate on their treatment decisions. Patient decision-making aids are a tool for clinicians utilize with improve patients' understanding condition options. With increased emphasis patient-centered healthcare, implementation shared aid in adult reconstruction clinical practice may help make better...

This article is one of a series focusing on how the preoperative optimization process, if designed for underserved communities, can improve access to care and reduce disparities. In this article, we specifically focus methods patients with HIV hepatitis C facilitate their total joint arthroplasty. 1.2 million Americans are currently living (people HIV). African Hispanics account largest proportion new diagnoses make up highest people HIV. HIV-positive patients, many them complex...

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A 78 year-old man fell 6 months after Sivash-range of motion (S-ROM) total hip arthroplasty (THA), which he developed pain and external rotation deformity. Imaging showed stem malrotation in relative retroversion. Revision THA was delayed because medical issues, occurring 1.5 years the fall. No corrosion observed intraoperatively at stem-sleeve interface. His symptoms resolved revision THA.We present a rare complication S-ROM THA-dissociation femoral from proximal sleeve, with subsequent...

Anemia and sickle cell anemia before surgery are often unrecognized medical comorbidities that can should be addressed. Nearly 6% of the American population meets criteria for anemia. The elderly, along with patients renal disease, cancer, heart failure, or diabetes mellitus more likely to anemic. most common form is due iron deficiency, which easily treated surgery. Sickle occurs in 1 365 Black births 16,300 Hispanic births, 100,000 Americans currently living Patients who have at increased...

We have reported a case of delayed hip prosthetic erosion into the common femoral artery (CFA) 3 years after implantation. The patient had initially presented with left lower extremity acute limb ischemia secondary to popliteal embolism. However, metal artifact around joint prevented CFA evaluation using conventional imaging. Diagnostic angiography intraoperative intravascular ultrasound revealed dilatation adherent intraluminal thrombus. Open surgical repair showed prosthesis through...

A patient with congenital hip dysplasia and Marfan syndrome presented 3 years after total arthroplasty (THA) acute ischemia of the left lower extremity secondary to popliteal artery embolism. Intravenous ultrasound revealed common femoral (CFA) dilation an intraluminal thrombus. Open repair showed prosthetic erosion through CFA despite proper implant positioning lack hardware failure.This is a rare complication THA in impaired vascular integrity connective tissue disorder. Similar patients...